How is thygeson treated?
Conclusions: Thygeson’s superficial punctate keratitis is a potentially chronic condition, which might affect people of all ages for years to decades. Corticosteroids are the mainstay of treatment, with extended-wear contact lens and topical cyclosporine reserved as secondary agents.
Is thygeson’s disease common?
Thygeson’s superficial punctate keratitis (TSPK) is a rare and still poorly understood disease of the ocular surface, responsible for recurrent episodes of photophobia and eye pain.
Is punctate keratitis curable?
Treatment of Superficial Punctate Keratitis Almost everyone who has this disorder recovers completely.
What is Thygeson’s superficial punctate keratitis?
Described in 1950 by Phillips Thygeson in a case report series, Thygeson’s superficial punctate keratitis (TSPK) is an insidious, chronic and recurrent disorder, characterized by small and elevated oval corneal intraepithelial, whitish-gray opacities, extending to the entire anterior surface of the cornea of both eyes.
What is punctate epithelial keratopathy?
The punctate epithelial keratitis (PEK) is a distinct clinical entity characterized by coarse, raised intraepithelial lesions surrounded by focal inflammatory cells, with punctate staining as well as areas of negative staining on fluorescein. PEK is often a clinical picture common to various cornea pathologies.
Is thygeson’s an autoimmune disease?
Thygeson’s superficial punctate keratitis (TSPK) is a chronic, bilateral epithelial keratitis. Dr Philips Thygeson first reported TSPK in 1950. Although the etiology of TSPK remains unknown, it has been reported to be associated with viral and autoimmune pathologies.
How common is TSPK?
Conclusion: TSPK is a rare, relapsing corneal disease with the onset mostly in the first and third decade of life. TSPK is mostly bilateral, but may be also unilateral and findings are asymmetrical in almost all cases.
How do you treat punctate epithelial erosions?
Punctate epithelial erosions may be treated with artificial tears. In some disorders, topical antibiotic is added to the treatment. Patients should discontinue contact lens wear until recovery.
What causes thygeson’s keratitis?
The pathophysiology of TSPK remains unknown. Both, viral and immunologic mechanisms have been implicated. Adenovirus, herpes simplex virus, and varicella zoster virus, have all been implicated as a possible causes of the disease.